Mancini Marcello, Mainenti Pier Paolo, Speranza Antonio, Liuzzi Raffaele, Soscia Ernesto, Sabbatini Massimo, Ferrara Liberato Aldo, Federico Stefano, Salvatore Marco
Biostructure and Bioimaging Institute, National Research Council, Istituto di Biostrutture e Bioimmagini-CNR, Via S. Pansini, 5 Ed. 10, 80131 Naples, Italy.
J Clin Ultrasound. 2006 May;34(4):184-9. doi: 10.1002/jcu.20212.
Sonographic measurement of renal volume is one of the parameters used in the diagnosis of renal transplant dysfunction and in follow-up of patients with renal transplant. The aim of this study was to compare the prolate ellipsoid formula with a new formula in calculating the volume of a transplanted kidney.
The renal volumes in 24 patients with a stable renal transplant were determined sonographically with the ellipsoid formula and via helical CT with the voxel-count method, which is the gold standard. A new formula that uses renal length and the cross-sectional area at the maximum transverse section has been evaluated in a small series of transplanted kidneys.
Renal volume was underestimated with the sonographic ellipsoid formula and the new formula. The new formula yielded the lowest underestimation of the mean renal volume, and the measurements obtained with it were not significantly different from those obtained with CT.
The use of sonography is appropriate for accurate calculation of renal volume, and the new formula that uses only 2 ultrasound parameters best represents the volume of a renal transplant.
超声测量肾体积是诊断肾移植功能障碍及对肾移植患者进行随访时所采用的参数之一。本研究的目的是比较在计算移植肾体积时,长椭球体公式与一种新公式的差异。
采用椭球体公式通过超声测定24例肾移植稳定患者的肾体积,并采用体素计数法通过螺旋CT测定肾体积,体素计数法为金标准。在一小系列移植肾中评估了一种使用肾长度和最大横截面积的新公式。
超声椭球体公式和新公式均低估了肾体积。新公式对平均肾体积的低估程度最低,其测量结果与CT测量结果无显著差异。
超声检查适用于准确计算肾体积,仅使用两个超声参数的新公式最能代表移植肾的体积。